Tele-guided Ultrasound Lung Imaging for Paramedics (TULIP)-An Acceptability Study.
Journal of Imaging Informatics in Medicine · 2026-03-30 · Quasi-experimental
Abstract
Point-of-care ultrasound (POCUS) is a potentially valuable tool in the out-of-hospital setting, offering paramedics critical diagnostic information in real time. Lung ultrasound, specifically, holds great promise for improving the management of respiratory distress, a common emergency encountered by paramedics. Despite its potential, the use of POCUS in the out-of-hospital setting is currently limited by factors such as a lack of training, supervision and resource availability. Tele-ultrasound, which allows remote experts to guide paramedics in real time, may help overcome these barriers. This study aimed to assess the acceptability of tele-ultrasound among specialist paramedic trainees and explore factors influencing its potential adoption into paramedic practice. A mixed-methods interventional study was conducted. An online learning module and workshop was provided prior to the intervention. Participants then performed tele-guided lung ultrasound scans on healthy volunteers, with remote guidance provided by sonographers. Acceptability was measured using the Usage Rating Profile-Intervention Revised (URP-IR) survey. Survey data was complemented by qualitative insights from free-text responses through a descriptive content analysis approach. Nine participants completed the study with acceptability scores high in this small sample (mean score 5.33/6). Feasibility was also rated favourably, with participants expressing confidence in the technology's diagnostic potential. Content analysis revealed concerns about system support, particularly regarding equipment reliability and communication. Tele-ultrasound guidance has potential to enhance paramedic diagnostic capabilities. Whilst the intervention was well received, efforts to optimise remote communication protocols and address technical barriers are essential for wider adoption.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Critical care & advanced paramedics · Communication & handover · Implementation · Point-of-care ultrasound · Telemedicine
Related articles
- SWOT analysis of prehospital ultrasound use and its practical implications. (Medicine (Baltimore), 2025)
- Remote real-time supervision of prehospital point-of-care ultrasound: a feasibility study. (Scand J Trauma Resusc Emerg Med, 2022)
- Application of tele-ultrasound in emergency medical services. (Telemed J E Health, 2008)
- Field testing of a remote controlled robotic tele-echo system in an ambulance using broadband mobile communication technology. (J Med Syst, 2008)
- Feasibility of Paramedic Performed Prehospital Lung Ultrasound in Medical Patients with Respiratory Distress. (Prehosp Emerg Care, 2018)
- Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service. (Scand J Trauma Resusc Emerg Med, 2025)